Individual
ANA MARIA ANSELMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HUCKLEBERRY LN, HAMPTON BAYS, NY 11946-2906
(631) 902-3322
Mailing address
2 HUCKLEBERRY LN, HAMPTON BAYS, NY 11946-2906
(631) 902-3322
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
23111-08
NY
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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